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Promising Practices

The Promising Practices database informs professionals and community members about documented approaches to improving community health and quality of life.

The ultimate goal is to support the systematic adoption, implementation, and evaluation of successful programs, practices, and policy changes. The database provides carefully reviewed, documented, and ranked practices that range from good ideas to evidence-based practices.
Learn more about the ranking methodology.

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Healthy Start

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Women

Goal: The initiative's primary purpose was to reduce infant mortality by 50 percent and generally improve maternal and infant health in at-risk communities.

Impact: 20% of the Healthy Start program sites had significantly lower rates of low-birth-weight babies than their comparisons. 20% of the sites also had significantly lower rates of very-low-birth-weight babies than their comparisons. Four of the sites had significantly lower pre-term birth rates.

Healthy Steps for Older Adults (HSOA) (Pennsylvania)

Filed under Evidence-Based Practice, Community / Public Safety, Older Adults

Goal: The Pennsylvania Department of Aging offers this fall risk screening and prevention program to adults 50 years of age and older. The program is designed to raise awareness of falls, introduce steps on how to reduce falls, improve overall health, and provide referrals and resources.

Healthy U (Kansas City, MO)

Filed under Effective Practice, Health / Physical Activity, Children, Teens, Families, Racial/Ethnic Minorities, Urban

Goal: The goal of Healthy U is to work with several community groups to provide healthy snacks as well as education on nutrition and fitness to students and their families at University Academy.

Impact: The percentage of screened students who were overweight fell from 45.9% in the 2011-2012 school year to 36.9% in the 2011-2012 school year. Over 75% of participants in both Teen Eats and Family Dinners demonstrated a positive behavior change.

HeartStrings (Dane, Wisconsin)

Filed under Good Idea, Health / Alternative Medicine, Older Adults

Goal: HeartStrings aims to enhance the quality of life for individuals with special needs. Through regularly-recurring, interactive sessions, the MSO’s Rhapsodie Quartet addresses the physical, emotional, cognitive, and social needs of hundreds of individuals each year in a comfortable and familiar setting.

HeartStrings mission statement is as follows:

1) To enhance the quality of life of underserved populations through live, interactive, and exceptional quality musical experiences that are informed by the American Music Therapy Association’s Standards of Practice.

2) To bring meaningful arts experiences directly to participants in a comfortable and
familiar setting.

3) To provide a valuable resource for facilities that serve aging populations, adults with dementia, and individuals with disabilities, or long-term illnesses.

Impact: HeartStrings has reached over 3,200 individuals with disabilities, long-term illness, and assisted-living needs, as well as aging adults with dementia since its start in 2006.

Heaven's Loft (Little Rock, AR)

Filed under Good Idea, Health / Maternal, Fetal & Infant Health, Children, Rural

Goal: The goal of Heaven's Loft is to encourage low-income expectant mothers to receive prenatal care, well-baby care, immunizations, health screenings, and educational classes on childbirth, breastfeeding, and infant/child care and parenting.

Helping Early Literacy with Practice Strategies (HELPS) (USA)

Filed under Evidence-Based Practice, Education / Literacy, Children, Urban

Goal: The goal of HELPS Programs is to strengthen students’ reading fluency so they will be better able to focus on and improve other important reading skills, including comprehension.

Impact: HELPS is a supplemental curriculum that improves students reading fluency, a commonly neglected aspect of children's core reading curriculum, in order to help them become successful readers.

Hepatitis B ESL Education Curriculum for Chinese Immigrants (Canada)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Adults, Racial/Ethnic Minorities

Goal: To educate the Chinese Canadian immigrant community on Hepatitis B knowledge and to promote Hepatitis B testing through ESL curriculum.

Impact: The Chinese immigrant population in North America has a rate of Hepatitis B infection that is 10 times higher than the general population's rate of approximately 0.5 percent. The Hepatitis B ESL curriculum is effective in increasing knowledge about Hepatitis B among Chinese immigrants in Canada.

HIV Prevention Intervention for African American Adolescent Girls

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Women

Goal: The intervention aimed to reduce sexual risk behaviors, sexually transmitted diseases (STDs), and pregnancy, and enhance mediators of HIV-preventive behaviors.

Holistic Health Recovery Program (New Haven, CT)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Urban

Goal: The goals of the Holistic Health Recovery Program are to promote health and improve quality of life of injection drug users.

Impact: Implementation of the program resulted in a decrease in addition severity, a decrease in risk behavior, and significant improvement in behavioral skills and quality of life.

HomeMeds

Filed under Evidence-Based Practice, Community / Public Safety, Older Adults

Goal: The mission of the program is to shape the evolving health system by developing and spreading high-value models of community-based care and self-management for diverse populations with chronic conditions.

An Effective Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success and/or promise in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures of improvement in outcome of interest (i.e. increase in voter registration, not just delivery of voter registration drive) and/ or the outcome measure is increased or improved compared to the baseline measurement or the control group but the difference is not statistically significant.

A Good Idea meets the following HCI criteria:

  1. The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
  2. The program evaluation is limited to descriptive measure(s) of success/accomplishment (i.e., program participation rates, number of services/education sessions/radio messages provided). Note: oftentimes, the program has been newly implemented and a program evaluation has not yet been conducted. Programs that have not yet been evaluated, but which show promise in improving health or quality of life, are classified as Good Ideas until an evaluation is conducted.

An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.